Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,570.40 / $10,715.19	Facility		$134.90	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $398.11	Professional		$70.79	$138.04	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $218.78	Professional		$64.57	$117.49	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $72.44 / $81.28	Facility		$67.61	$72.44	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $257.04	Professional		$77.62	$147.91	$257.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $257.04	Professional		$81.28	$154.88	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $309.03	Facility		$100.00	$100.00	$309.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $165.96 / $309.03	Professional		$66.07	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $218.78	Professional		$70.79	$120.23	$218.78